Blooming Smile Dental Association LLC

NPI #1386466829 in Hackensack, New Jersey

Provider Information

NPI Number: 1386466829
Entity Type: Organization
Organization Name: Blooming Smile Dental Association LLC
Primary Specialty: Dentist
Enumeration Date: Oct 28, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 946 MAIN ST
Address 2: 1ST FLOOR
City: Hackensack
State: New Jersey
ZIP Code: 07601
Phone: (201) 971-8777

Authorized Official

Name: ROLA OWIES, DMD
Title: OWNER
Phone: (973) 337-7444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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